Follow these guidelines when completing this assignment. Speak with your faculty member if you have questions.
a. Students may seek input from the course instructor on securing an individual for this assignment.
b. Avoid the use of client identifiers in the assignment, HIPAA protocols must be utilized.
c. During the lab experiences, you will conduct a series of physical exams that include the systems listed in Objective Data below.
d. Refer to the course textbook for detailed components of each system exam.
1) Remember, assessment of the integumentary system is an integral part of the physical exam and should be 2 included throughout each system.
e. Keep notes on each part of the health history and physical examination as you complete them so that you can refer to the notes as you write the paper, particularly the reflection section.
f. Utilize proper medical terminology.
a. Health History: Subjective Data (30 points/30% [1-2 paragraphs in length])
1) Demographic data
2) Reason for care
3) Present illness (PQRST of current illness)
4) Perception of health
5) Past medical history (including medications, allergies, and vaccinations and immunizations)
6) Family medical history
7) Review of systems 8) Developmental considerations
9) Cultural considerations
10) Psychosocial considerations
11) Presence or absence of collaborative resources (community, family, groups, and healthcare system) b. Physical Examination: Objective Data (30 points/30% [1 paragraph])
1) From NR302
a) HEENT (head, eyes, ears, nose, and throat)
b) Neck (including thyroid and lymph chains)
c) Respiratory system
d) Cardiovascular system
2) From NR304
a) Neurological system
b) Gastrointestinal system
c) Musculoskeletal system d) Peripheral vascular system
c. Needs Assessment (20 points/20% [2 paragraphs])
1) Based on the health history and physical examination findings, determine at least two health education needs for the individual. Remember, you may identify an educational topic that is focused on wellness.
ORDER NOW FOR PLAGIARISM-FREE PAPERS
2) Support the identified health teaching needs selected with evidence from two current, peer-reviewed journal articles.
3) Discuss how the interrelationships of physiological, developmental, cultural, and psychosocial considerations will influence, assist, or become barriers to the effectiveness of the proposed health education.
4) Describe how the individual’s strengths (personal, family, and friends) and collaborative resources (clinical, community, and health and wellness resources) effect proposed teaching.
d. Reflection (10 points/10% [1 paragraph]) Reflection is used to intentionally examine our thought processes, actions, and behaviors in order to evaluate outcomes. Provide a written reflection that describes your experience with conducting this complete health history and physical assessment. HIPAA protocols Discussion
1) Reflect on your interaction with the interviewee holistically.
a) Describe the interaction in its entirety: include the environment, your approach to the individual, time of day, and other features relevant to therapeutic communication and to the interview process.
2) How did your interaction compare to what you have learned?
3) What barriers to communication did you experience?
a) How did you overcome them?
b) What will you do to overcome them in the future?
4) What went well with this assignment?
5) Were there unanticipated challenges during this assignment?
6) Was there information you wished you had available but did not?
7) How will you alter your approach next time?
e. Writing Style and Format (10 points/10%)
1) Writing reflects synthesis of information from prior learning applied to completion of the assignment.
2) Grammar and mechanics are free of errors.
3) Able to verbalize thoughts and reasoning clearly. 4) Use appropriate resources and ideas to support topic.
5) Adheres to APA recommendations for title page, running head, headings, in-text citations, and reference page.
6) HIPAA protocols followed.
For writing assistance (APA, formatting, or grammar), visit the APA Citation and Writing Assistance page in the online library.
Please note that your instructor may provide you with additional assessments in any form to determine that you fully understand the concepts learned in the review material
HIPAA protocols Discussion
You have to be 100% sure of the quality of your product to give a money-back guarantee. This describes us perfectly. Make sure that this guarantee is totally transparent.Read more
Each paper is composed from scratch, according to your instructions. It is then checked by our plagiarism-detection software. There is no gap where plagiarism could squeeze in.Read more
Thanks to our free revisions, there is no way for you to be unsatisfied. We will work on your paper until you are completely happy with the result.Read more
Your email is safe, as we store it according to international data protection rules. Your bank details are secure, as we use only reliable payment systems.Read more
By sending us your money, you buy the service we provide. Check out our terms and conditions if you prefer business talks to be laid out in official language.Read more